APPLICATION FOR FREQUENCY ASSIGNMENT AND LICENCE IN THE FIXED AND MOBILE RADIO COMMUNICATION SERVICE. 1. Administrative details: a) b) c) 2. Name of the organisation (or individual) ..........................................…………….......................……....……………. Nationality.............................. ID / PP No. ......…............................……… Postal address.............................................................................…………… Business Telephone.................................... Fax......................................... Physical location: Road/street............................. Building .......................LR. No. ................................ Purpose for which this service is required ....…...... .................................... ........................................................................................................................ …………………………………………………………………………...…. Name of person / organisation responsible for payment of bills.............………………………………………………............................. ......................................................................................................................... ....................………………………………………………………………….. . Transmit Station: a) Transmitter site details(for fixed station): i) Name........................................................………….................. ii) LR. No. . ..............……………………...................................... iii) Road/Area ..........................................……................................. iv) Geographical co-ordinates: Latitude : deg………….… min………..…. sec……….….(N/S) Longitude : deg………….min ……….…….sec…………..(E). v) Altitude above sea level (in metres)................................ vi) Radius of service area in kms. ....................... ............... b) Equipment details: i) Station Configuration: Fixed / Mobile (delete as appropriate) ii) Make ...................................................................................... Model ..................………....................................................... Serial number .......................................................................... iii) Name and postal address of the local supplier (if any) ....................................………………………………............... Postal address............................................................................. Business Telephone.......................... Fax................................... iv) Channel capacity........................................................................ v) Carrier output power (Watts)............................……………….................................... vi) Duplex spacing.......................................................................... vii) Adjacent channel spacing........................................................... viii) Power to antenna ...................................................................... ix) System deviation (or equivalent for digital systems)...................... x) FM noise and hum level (in case of analogue systems) ................ . 85